Individual
DIANA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 COULTER RD STE 2660, CLIFTON SPRINGS, NY 14432-1122
(315) 462-9478
(315) 462-6707
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
337382
NY
363LF0000X
Family Nurse Practitioner
Primary
F337382-1
NY
Other
Enumeration date
12/12/2012
Last updated
03/25/2026
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